$54,508 Awarded to Spine Surgeon
Judd Shaw Injury Law sought payment for PIP medical benefits on behalf of a spine surgeon. The insurance carrier denied payment for the fusion and cage placement with stabilization based on the allegation the services were not medically necessary. Judd Shaw Injury Law established the surgery was reasonable and related to the motor vehicle accident. Claimant’s attorney Judd Shaw established that the patient was living with a degenerative condition and did not have any significant medical issues until after the accident which changed the patient’s pre-existing condition and worsened it and therefore, the accident provided sufficient trauma which had not existed pre-accident. The arbitrator disagreed with the carrier and awarded nearly $55,000.00 to the surgeon.